Examining the impact of worker and workplace factors on prolonged work absences among Canadian nurses

OBJECTIVE:: To evaluate the impact of worker and workplace factors and of their relationships on work absence duration. METHODS:: Structural equation modeling of 11,762 female, Canadian nurses from the 2005 National Survey of the Work and Health of Nurses. RESULTS:: Worker and workplace factors were associated with prolonged work absence. Key proximal predictors were pain-related work interference, depression, pain severity, and respect and support at work. More distal predictors were multimorbidity, abuse at work, and organizational culture. CONCLUSIONS:: Worker health and workplace factors are important in explaining work absence duration. Self-management for pain and mood, adapted to the work context, may be useful for nurses with chronic pain or depression. Policy makers and administrators should focus on creating respect and support at work, and improving organizational culture